s-, the highest critical illness rating Zhou has ever seen in his life so far.
It goes without saying that the seriousness of the injured person's condition is a hematoma caused by adhesion in the damaged veins of the kidney. When the hematoma ruptures, there will be massive bleeding. In a short period of time, a large amount of blood loss and abdominal pressure will cause the blood pressure and heart rate to soar to a terrifying level.
Numerical height.
at the moment.
There is no need to ask what to do anymore.
Only rescue!
"Zhou, I just used the same scalpel to intubate the trachea. I didn't have time to clean it." At the same time, Delia had to throw her instruments into the pot of boiling water. She had just experienced abdominal dissection and was bound to
If the patient is contaminated with ascites pollutants and is not treated, the rescue will be in vain.
As for the tracheotomy site, the degree of contamination is not high. Let's take a gamble and restore ventilation first, at least it will not cause people to suffocate to death before the abdomen is opened.
Amidst the chaos, there is order within the chaos.
Facing the death of the injured, the two of them had already made psychological preparations.
[Precise cutting], cut.
We can't say slow, we can only say steady. There is no room for mistakes in this situation. We would rather slow down than make mistakes. Once a mistake is made, it is irreversible.
What's more, the injured person is constantly twitching because he is choking on blood. A slight shake will have serious consequences.
When the incision was made on Monday, Delia had quickly fished out the instruments.
The tribal women who were helping outside were frightened, but they came back to their senses when she shouted——
"Quick, cloth, give it to me."
The women quickly took out the cloth from the boiling water, put it in a pottery basin and handed it over.
At the same time, the endotracheal intubation was in place, and the injured person suddenly became much more stable after ventilation. The woman outside was shocked and yelled, perhaps shouting, "He can live."
Delia took two steps forward, and the last alcohol spilled on the scalpel, slipped off the blade, and flowed on the patient's waist.
"Turn him over."
Zhou Sheng understood and pushed his body to let the patient lie down on his side.
Delia took a deep breath, no longer hesitated, and cut open the skin on her lower back with the knife. She didn't have time to wipe away the blood, and stabbed open the muscles again. A small expander replaced the retractor, and was controlled by Zhou Sheng.
Inside, the red and tender waist seemed to have been installed with a car wash valve shower, which was constantly spraying blood.
Zhou Sheng held the expander in one hand and felt the patient's pulse with the other.
"The heart rate exceeds 200. The supply and demand of the heart are seriously insufficient, and the bleeding needs to be stopped immediately."
The heart is like an automatic water pump. When there is insufficient blood, it will increase pumping power. This is a physiological instinct, but it has a fatal impact on life. Once the heart rate exceeds 230, the heart will not be able to bear the load.
Blood vessels burst.
Delia knew the seriousness of the situation, but she took no action.
She is determining the location of the bleeding point.
But Zhou Sheng lost his patience: "The kidneys are extensively necrotic. We don't have time to find the blood spots. Let's just remove them."
This is a systematic treatment recommendation.
In emergency situations, it is reasonable to directly remove the kidney that is bleeding heavily.
"I'm afraid he won't be able to hold on." Delia took a deep breath. In her opinion, kidney removal was a last resort.
"But he can't hold it anymore."
Delia glanced at Zhou Sheng and finally acquiesced: "Okay, come on."
She suddenly handed over the scalpel: "Here you go."
Zhou Sheng was stunned, with complete disbelief in his eyes: "Me?"
Delia didn't reply, but she never made a move to hold out the scalpel.
When their eyes met, Zhou Sheng suddenly had some understanding...
Delia, she should have given up.
Therefore, she chose another path. Once the kidney was cut open, it would be difficult to recover the water. People are bound to die anyway, so it would be better to die in a more valuable way...
Let Zhou Yisheng try out the techniques and accumulate experience.
From a doctor's perspective, this is obviously unethical.
The biggest difference between modern humans and primitive humans lies in morality and ethics, or in other words, the difference between humans and animals lies in human nature.
From a moral and human perspective, what Delia did seems to transcend these two points...
There is also a huge contrast with his personality.
Voluntary human donation is a contribution to medicine, but private decision-making tramples on moral humanity.
Zhou Shengsheng had so many mixed feelings in his heart that he couldn't make a choice.
Delia said: "Without blood source support, no ventilator, and no anesthesia, the operation cannot be completed. You don't have to be mentally burdened. As the chief surgeon, I crossed the bottom line. All the fault lies with me."
"If you really can't bear it in your conscience, you can refuse."
Zhou Sheng smiled bitterly, as if he got to know Delia again.
A kind and respectable woman also hides a rough side. It's not that she doesn't care about ethics, but she puts interests at the top. But Zhou Yisheng has to show her love because she wants to help herself. If she doesn't have herself, she will
There is no need for reality to become so cruel.
Time is running out.
Zhou Sheng made a decision and finally took the scalpel.
However, he did not intend to treat the current matter as a teaching exercise.
The injured in front of him are still patients who need to be rescued, not body teachers who need to donate their bodies.
Everything depends on people, and one person's attitude can make the starting point of things different.
System interface——
Medical achievement point redemption interface.
[Kidney removal]——100 medical achievement points.
Choose and redeem!
It's a fourth-level surgery, a highly difficult surgery level, and it costs 100 points to say it's not painful.
As far as my current situation is concerned, the utilization rate of [kidney removal surgery] is very low. After returning to China and starting over as an intern, it is impossible to perform related operations on stage, even as a second assistant or third assistant.
It is foreseeable that it will be idle in the next few years.
In terms of benefits, it is obviously not a worthwhile deal.
However, Zhou Yisheng still chose to exchange. At the moment, the patient has nothing more important than his life.
It can also be said that I have kept that bottom line.
at the same time.
From the moment Zhou Yisheng made his decision, he gained a new understanding of life. The result of his understanding was unclear, but he had a vague idea of the future.
Delia can give up her bottom line because her ideals are different from others, and she may devote her whole life to this mountain forest.
Everyone in the mountains and forests owes her.
But Zhou Yisheng’s pursuit is growth within the hospital system.
It can also be said that he cannot accept himself to act arbitrarily and let himself go without any restrictions.
Holding a sharp scalpel...
Monday has started.
After the exchange, the brief dizziness did not affect his spirit, because he would be the first to experience the kidney removal process countless years ahead of his peers. At this moment, he was extremely excited, and his adrenaline hormone secretion increased, like a soldier who was about to embark on the battlefield.
.
in mind.
The knowledge related to kidneys suddenly swept across like a storm and gradually merged into a round body.
It's an innate feeling.
Summarized in game terms——
This should be a natural skill.
"Hemostatic forceps." Zhou Sheng stretched out his other hand.
Delia was stunned for half a second and quickly followed the instructions. She suddenly found that Zhou Sheng's eyes suddenly became much brighter, and they seemed to be blooming with infinite brilliance, as if he had taken her back to 20 years ago, when he just went on stage for surgery.
The picture of the teaching doctor taking her into surgery for the first time.
Deep and calm.
High-spirited and well-planned, everything seems to be under control.